Volunteer eMentorship Application

PROFESSIONAL INFORMATION (Please be detailed in completing your application so we can fully understand your professions, get to know you, and better match you with a student.)

Please select all that apply: *

eMentorship

English Speaker

Other Language (Dari, Pashtu)

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email address *

Preferred contact method *

Area of Expertise: *

eMentorship: The Mentorship of an Eagle Online Academy student is one of the most important pieces of her education and is accomplished online. Therefore, we ask each mentor for a one-year commitment, along with a commitment to provide Eagle Online Academy with quarterly progress reports during that year. The majority of this commitment will be accomplished via email/Skype due to the distances involved. Are you willing to commit to your student and to the program for a year? *

Yes

No

Attach any supporting documents
(resume, CV, cover letter, etc.)

By typing “yes” below, if selected for the Eagle Online Academy mentorship Program, I hereby consent to the participation in and publication of interviews, the recording of interviews, photographs, movies, or videotapes, and the usage of my name, business, and logo. I also grant the Eagle Online Academy the right to publish and distribute such materials for publicity purposes in any media format including but not limited to newspapers, magazines, television, radio, film, texting, or any type of media on the Internet. I also grant Eagle Online Academy the right to edit such materials, so long as the meaning of statements and interviews are not changed. If you agree with the above statement, please write/type “yes” in the space below. *

Some mentors prefer to work in teams. List any preferred team members and their email addresses below.

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I have read and understood the mentor description, and understand that the entire Toolkit will be available prior to the mentorship program for my review. If you agree, please write/type “yes” in the space below.

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